Claims Advisor, Professional Liability – E&O, D&O

Sedgwick

. Analyze and process complex or technically difficult D&O, EPL and E&O liability claims .

Posted 11/3/2026full-timeRemote • United StatesSeniorLead💰 $115,000 - $130,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in complex claims management, including D&O, EPL, and E&O liability claims, with strong negotiation and analytical skills. Proficient in managing claims processes, conducting investigations, and ensuring compliance with legal and insurance standards.

Highest-signal resume keywords

Complex Claims Management ExperienceNegotiation SkillsInsurance Coverage ExpertiseAnalytical SkillsCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementCoverage AnalysisCost Containment TechniquesFraud InvestigationReserve CalculationSettlement Strategy DevelopmentLegal Compliance MonitoringMedical Malpractice Insurance KnowledgeClaims Expertise in Errors and OmissionsClaims Expertise in Cyber Liability

Soft Skills

Excellent Oral CommunicationExcellent Written CommunicationStrong Organizational SkillsInterpersonal SkillsTeam Collaboration

Tools & Technologies

Microsoft Office

Certifications & Qualifications

Associate in Claims (AIC)Chartered Property and Casualty Underwriter (CPCU)Associate in Risk Management (ARM)Associate in Insurance Claims (AIC)

Industry Keywords

D&O LiabilityEPL LiabilityE&O LiabilityMedical Management PracticesSocial Security Application ProceduresClaim DurationRecovery and OffsetsLegal Defense CoordinationInvestigation ReportingPerformance Competencies

About the role

Key responsibilities & impact

Analyze and process complex or technically difficult D&O, EPL and E&O liability claims
Investigate and gather information to determine claim exposure
Manage claims through action plans to timely and appropriate resolution
Conduct or assign full investigations and provide investigation reports for new events, claims and legal actions
Negotiate claim settlements up to designated authority level
Calculate and assign timely and appropriate reserves and monitor reserve adequacy
Recommend settlement strategies and bring structured settlement proposals as necessary
Perform coverage analysis and provide opinions and correspondence
Coordinate legal defense, assign attorneys, support investigations, review attorney invoices, and monitor counsel compliance with client guidelines
Use cost containment techniques and strategic vendor partnerships to reduce claim costs
Identify and investigate fraud, subrogation, contribution, recovery, and case management opportunities
Represent the company in depositions, mediations, and trial monitoring as needed
Communicate claim activity and processing with clients and maintain professional client relationships
Ensure claim files are properly documented and claim coding is correct
Refer cases to supervisors and management as appropriate
Delegate work and mentor others

Requirements

What you’ll need

Ten (10) years of complex claims management experience or equivalent combination of education and experience required
Masters or Juris Doctorate degree from an accredited college or university preferred
Licenses as required
Designations and/or licensing including Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC) preferred
In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled
Knowledge of recoveries, offsets and deductions, claim and disability duration, and cost containment principles including medical management practices and Social Security application procedures as applicable
Extensive knowledge and comprehension of insurance coverage
Claims expertise in errors and omissions, directors and officers, and/or cyber liability
Excellent oral and written communication, including presentation skills
PC literacy, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent negotiation skills
Good interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies
Computer keyboarding
Hearing, vision and talking
Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
401k and matching
PTO
Disability insurance
Life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Work-life balance
Caring culture
Career growth opportunities